Organizational Systems and Quality Leadership Task 1 Western Governors University A. Embedded in the founding principles of nursing is the responsibility of nurses to measure, evaluate and improve practice. Hospitals use data and clinical tools to compare themselves to other healthcare organizations in an effort to achieve quality patient outcomes. Having an understanding of the principles of nurse-sensitive indicators, organizational leaders can advance patient care throughout the hospital. A. Nursing-Sensitive Indicators Healthcare organizations and regulatory agencies recognized a relationship between nursing interventions and overall quality of patient care in the mid 1990’s (Erickson, 2011). This is when nursing-sensitive indicators (NSIs) were introduced as a means to measure patient outcomes.
The theory is a framework that healthcare professionals can use to provide a basis for self-care and symptom management in the chronic disease patient. Keywords theory analysis, UCSF Symptom Management Theory, Symptom Management Model, chronic illness, chronic disease Introduction Symptom Management and its relationship with chronic disease has been named a research priority in the nursing profession (NNRA Process, 2006). The development of theories to guide research and Evidence Based Practice in this area is crucial, with further progress through analysis and application to practice. The UCSF Theory of Symptom Management (SMT) provides the guidance for the nurse to understand patient symptoms with better assessment, support and treatment in nursing practice. The symptom is usually what brings the patient to seek out health care (Humphreys et al., 2008) and adherence to treatment by the patient is crucial.
Abstract National Patient Safety Goal 07.05.01 Preventing Infection after Surgery is a multi-level, interdisciplinary approach to healthcare promotion. Surgical site infections not only increase the length of hospital stays and costs to patients, but they also increase the risk of mortality and morbidity post-operatively. This paper focuses on the ways to prevent infections before, during, and after surgery. Preventing Infections after Surgery NPSG 07.05.01 Introduction The Joint Commission (TJC) is a national organization that sets standards for healthcare agencies to meet and adhere to, to ensure a culture of safety for all patients by encouraging patients and families to become partners with healthcare professionals in protecting patients from harm. In 2002 TJC published its first annual set of National Patient Safety Goals (NPSGs) to require healthcare agencies to focus on specific, high-risk issues in nursing care (Ignatavicius & Workman, 2012).
BARRIER NURSNG INTRODUCTION This commentary will be used to help everyone to understand what Barrier nursing means and the reason for preventing the spread of infection. However I will be discussing the national and local policies influencing the experiencing of health and social care in nursing. I will also explain the concept of professionalism in accordance with nursing and midwifery council’s (NMC) professional code of conduct (NMC 2009). According to the Department of Health (2004), they explained that the term "barrier nursing" is given to a method of nursing care that has been used for over one hundred years when caring for a patient known or thought to be suffering from a contagious disease such as open pulmonary tuberculosis. However there are two types of infection control barrier and isolation nursing (Garner 1996).
Nursing diagnoses aim to guide nursing interventions and to achieve better results(20). When each nursing diagnosis is considered as a concept, the effective results of nursing care would be the consequence of the concept. An adequate nursing diagnosis enables nurses to articulate several manifestations of patients to a concept, and this concept can lead to a course of nursing action. In this way, diagnosis is a useful structure to guide nursing practice and to organize knowledge that serves as the basis for this practice(21). Although the potential for standardizing the language system is evident, the work on
The following assessment will also help with making some short and long-term goals, and will also target any internal and external factors that may affect the nursing facility to reach any potential and set goals. According to the U.S. Office of Technology Assessment, the broad definition of quality is the degree to which the process of care increases the probability of outcomes desired by the patient, and reduces the probability of undesired outcomes, given the state of medical knowledge (McLaughlin, & Kaluzny, 2006). The focus of quality has evolved in many different ways for every different organization that is out in the world. One way it has changed within the nursing field over time has been how the nurses will help care for patients, how they can have the best plan for preventing patients from falling, and most important to make sure that the quality of the nursing facility is the best one out. “Quality and efficiency are maintained by keeping employees involved in the complete manufacturing process” (Grant, W. 2010) When a manager has the help of employees health care
Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan. Having a set care plan makes it possible to easily identify when care is beginning to deviate from the care plan, resulting in lower quality patient care as well as risking patient safety. Quality indicators should be used to standardize all care for patients in restraints, making it less likely for the staff in this situation to experience issues. Another important indicator that can be used in this scenario is the prevention and management of pressure ulcers (Montalvo 2007). Nurses play an important role in the prevention of pressure ulcers.
According to Janine Spencer, the BSN incorporated theory based practice which “encourages a broader view of alternatives and an expanded understanding of patient and client behaviors.” (Spencer p 308) She continues explaining how part of the BSN curriculum involves community health nursing, which provides a window into patients lives outside the confines of a hospital. Taking nursing outside, where resources are limited, requires deeper level of critical thinking that is not achieved at the novice RN level. With that said flexibility with obtaining one’s RN, whether via diploma or ADN helped to alleviate the nursing shortage, provided a faster path to completion, as well as being more cost effective. “This inconsistent academic preparation creates dissension within the profession and prevents
Importance of Communication in nursing Aim of this assignment is to look into the importance of communication in nursing. The essay will comprise the definition, types and models of communication. It will also include the reflective model that will be used in the summative integrated assignment. Communication can either facilitate the development of a therapeutic relationship or cerate barriers[ Stuart and Laraia,2005].Health professionals became more aware of the critical role communication plays in health care in the late 20th century. But many of the problems faced by health care today is caused by failure to communicate properly.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.